Covid nurse pens poignant poem

A Glasgow nurse has put pen to paper to capture the moment she helped a Covid-19 patient speak to their loved ones from their deathbed.

Sarah Pirie (30) from the south side of Glasgow has been a nurse for three years and is working on the frontline, treating Covid-19 patients at the Queen Elizabeth University Hospital.

Sarah said: “It’s the first time I have been so intimately part of a patient’s last words. It was beautiful and heart-warming but also overwhelming. I wrote the poem at the end of this difficult shift during which there had been many tears.

“In our teams we’re getting great support from each other in this very difficult time, but as well as being nurses, we are human beings and we have good days and bad. The poem was just my way of dealing with one of those difficult days.”

Sarah shared her poem with her mum and sister who then urged her to share it more widely.

Sarah then shared in to her Facebook and has been overwhelmed with the result.

She said: “I have been contacted by people as far away as the States and Singapore. I think it’s just struck a chord with people and maybe helped too.

“I hope families take comfort knowing that even if they can’t be there, we are trying to do everything possible to help them stay connected to their families.”

The poem comes at a poignant time, as Tuesday is the International Day of the Nurse, which marks the important role that nurses are playing to support patients at this particularly challenging time.

Tonight I held you,
As I fought back the tears.
And grieved for your family,
That have loved you for years.
 
You became unwell,
There was nothing to do,
We watched through the window,
And increased your O2.
 
I called your family,
To see if anyone could attend.
Your family needed to know,
That this was the end.
 
But this virus is terrifying,
And people are shielding,
How can they be there,
When Covid is so unyielding.
 
I held your hand,
I wiped your face,
My gloved hand on skin,
As your breathing slows pace.
 
You’d still smile behind your mask,
And I’d try smile back.
To comfort and reassure you,
Is now my one and only task.
 
Your family called,
To say their goodbyes,
We stood with the phone,
And listened to their cries.
 
With tears rolling down our faces,
Into the masks we all wear.
We really wanted to help them,
And show them we care.
 
We woke you up,
So you could hear their voice.
We described your actions.
We had no other choice.
 
Their words filled with sorrow,
Their hearts played bare.
They wanted the time,
To show you, they care.
 
You looked peaceful,
And smiled at their call,
I hope it brought you comfort,
Standing there took my all.
 
We deal with death,
But not like this,
No family allowed,
To give you one last kiss.
 
But the next family will need us,
We will need to do the same.
But I hope I gave you good care.
And I will always remember your name.

Coronavirus seven weeks on: First Minister addresses the nation

Statement given by the First Minister Nicola Sturgeon during an address to the nation from St. Andrew’s House, Edinburgh, last night:

It’s now exactly seven weeks since lockdown measures were introduced.

The extent to which you have stuck to these rules – often at great personal sacrifice – has been truly remarkable.

So I want to start with a heartfelt thank you.

By staying at home, you have saved lives.

Seven weeks ago the virus was spreading out of control.

Today, it is in retreat.

Those who work in our NHS have been under immense pressure – and they have responded magnificently – but the health service has not been overwhelmed in the way we feared it would be.

In the last four weeks, the number of COVID-19 patients in intensive care has fallen by almost two thirds.

And last week, we saw the most welcome sign of all.

For the first time since the epidemic started, the number of deaths registered in a single week fell.

So the progress is real and it is down to you.

But our progress is still fragile. If we ease up too soon, the virus could run out of control again. That would mean more people dying and all of us staying in lockdown much longer.

There will of course be risks whenever we start to ease the lockdown.

But my judgement right now is that the risk is still too great.

Too many people are still dying, and the situation in care homes – despite the extraordinary dedication of our care workers – remains a serious concern.

And the important R number – the rate at which the virus reproduces – is still uncomfortably close to one. If it exceeds one, the virus could rapidly take off again.

That is why the Scottish Government is exercising such care and caution.

We announced one change to the rules yesterday. If you want to exercise outdoors more than once a day, you can now do so.

But otherwise we are asking you to stick with lockdown for a bit longer – so that we can consolidate our progress, not jeopardise it.

Except for essential work that can’t be done at home, going out for food and medicine, or for exercise – please continue to stay at home.

When you do go outside, please stay two metres from other people – and don’t meet up with people from other households.

Please wear a face covering if you are in a shop or on public transport. And wash your hands thoroughly and regularly.

These measures are essential for now. But we know they cause harm of their own, so we will not keep them in place for longer than necessary.

As the infection rate continues to fall, we will gradually relax the restrictions.

And we are already making preparations for that.

We are working with businesses to produce guidance on safe workplaces.

We are working on the changes needed on public transport.

And we are talking to teachers and parents about how and when schools can safely return.

We are doing all of that carefully because it is vital that when we do ask you to return to work or to school, you have clarity about what we are asking you to do and also confidence that it is safe.

We are also expanding our ability to test people for COVID-19, and trace those they have been in contact with. That will be important to control new outbreaks.

On all of this, I will keep you informed every step of the way.

I want to make sure that as we take each step on the path to recovery, the ground beneath us is as solid as possible. But I will not keep these restrictions in place longer than necessary.

As First Minister, I know the impact this has on all of you. And as a citizen, I miss my family too. But I won’t risk unnecessary deaths by acting rashly or prematurely.

So I am asking you please, for the moment, to continue to do what you have been doing so responsibly.

I also want to say a special thank you to children. Not being at school, or seeing your friends, or hugging your grandparents is really tough.

But you have handled it brilliantly. I’m so proud of all of you.

For all of us, I know it’s getting harder but let’s keep supporting each other even as we stay apart. Let’s remember what matters most – health, family, community.

Staying at home now is an expression of love, kindness and solidarity. We are doing it for each other, not just ourselves. It is how we protect each other, protect our NHS, and save lives.

And it will also bring forward that moment when we can begin a return to normality.

So once again, my thanks to each and every one of you.

Relaxing the Lockdown: PM tells England to ‘Stay alert’

PM Boris Johnson’s opening statement from yesterday’s press conference on coronavirus:

Good evening and thank you for joining us for this Downing Street press conference.

First of all, I want to update you on the latest data in our fight against coronavirus. I can report through the Government’s ongoing testing and monitoring programme that, as of today:

  • 1,921,770 tests for coronavirus have now been carried out in the UK, including 100,490 tests carried out yesterday;
  • 223,060 people have tested positive, that’s an increase of 3,877 cases since yesterday;
  • 11,401 people are currently in hospital with coronavirus, down from 11,768 the previous day.
  • And sadly, of those tested positive for coronavirus, across all settings, 32,065 have now died. That’s an increase of 210 fatalities since yesterday. This figure includes deaths in all settings not just in hospitals.

Before we begin questions from the public and from the media I just want to remind people of a number of important things I said in my address to the nation last night.

First, in order to monitor our progress, we are establishing a new COVID Alert Level System. The COVID Alert Level has five levels, each relating to the level of threat posed by the virus. The level will be primarily determined by the R value and the number of coronavirus cases. In turn, that COVID Alert Level will determine the level of social distancing measures in place. The lower the level the fewer the measures; the higher the level the stricter the measures.

Throughout the period of lockdown which started on March 23rd we have been at Level 4 – meaning a Covid19 epidemic is in general circulation, and transmission is high or rising exponentially. Thanks to the hard work and sacrifices of the British people in this lockdown, we have helped to bring the R level down and we are now in a position to begin moving to Level 3, in steps.

And we have set out the first of three steps we will take to carefully modify the measures, gradually ease the lockdown, and begin to allow people to return to their way of life – but crucially while avoiding what would be a disastrous second peak that overwhelms the NHS.

After each step we will closely monitor the impact of that step on the R and the number of infections, and all the available data, and we will only take the next step when we are satisfied that it is safe to do so.

Step 1 – from this week:

  • Those who cannot work from home should now speak to their employer about going back to work.
  • You can now spend time outdoors and exercise as often as you like.
  • You can meet one person outside of your household outside (outdoors), provided you stay 2 metres apart. The social distancing measures remain absolutely crucial to us keeping the infection rate and the number of cases down as low as we possibly can.

Step 2 – from June 1, at the earliest, as long as the data allows, we aim to allow:

  • Primary schools to reopen for some pupils, in smaller class sizes;
  • Non-essential retail to start to reopen, when and where it is safe to do so;
  • Cultural and sporting events to take place behind closed doors, without crowds.

And then Step 3 – no earlier than July 4, and again, only if the data says it safe, we aim to allow:

More businesses and premises to open, including potentially those offering personal care such as leisure facilities, public places, and places of worship. Many of these businesses will need to operate in new ways to ensure they are safe, and we will work with these sectors on how to do this.

So, given we have taken the first step in carefully adjusting some of the measures today, and therefore our advice to people on what to do, we have also updated our messaging. We are now asking people to Stay Alert, Control the Virus and Save Lives.

Yes – staying alert, for the vast majority of people, still means staying at home as much as possible. But there are a range of other actions we’re advising people to take as we modify measures.

People should Stay Alert, by: *

  • working from home if you can;
  • limiting contact with other people;
  • keeping distance if you go out – 2 metres apart where possible;
  • washing your hands regularly;
  • wearing a face covering when you are in enclosed spaces where it’s difficult to be socially distant – for example in some shops and on public transport;
  • and if you or anyone in your household has symptoms, you all need to self-isolate.

Because if everyone stays alert and follows the rules, we can control coronavirus by keeping the R down and reducing the number of infections. This is how we can continue to save lives, and livelihoods, as we begin as a nation to recover from coronavirus.

*NOTE: The Prime Minister’s guidance applies to ENGLAND ONLY 

We Must Defeat This Threat Together: PM statement in the House of Commons

Mr Speaker, with permission, I will make a statement about the next steps in our battle against coronavirus, and how we can, with the utmost caution, gradually begin to rebuild our economy and reopen our society.

For the last two months, the British people have faced a grave threat with common sense, compassion and unflinching resolve.

We have together observed the toughest restrictions on our freedoms in memory, changing our way of life on a scale unimaginable only months ago.

All our efforts have been directed towards protecting our NHS and saving lives.

Tragically, many families have lost loved ones before their time and we share their grief. Yet our shared effort has averted a still worse catastrophe, one that could have overwhelmed the NHS and claimed half a million lives.

Every day, dedicated doctors, nurses, and social care workers, army medics and more have risked their own lives in the service of others, they have helped to cut the Reproduction rate from between 2.6 and 2.8 in April to between 0.5 and 0.9 today.

The number of covid patients in hospital has fallen by over a third since Easter Sunday.

Our armed forces joined our NHS to build new hospitals on timetables that were telescoped from years to weeks, almost doubling the number of critical care beds, and ensuring that since the end of March, at least a third have always been available.

Our challenge now is to find a way forward that preserves our hard won gains, while easing the burden of the lockdown.

And I will be candid with the House: this is a supremely difficult balance to strike.

There could be no greater mistake than to jeopardise everything we have striven to achieve by proceeding too far and too fast.

We will be driven not by hope or economic revival as an end in itself, but by data, and science and public health.

And so the Government is submitting to the House today a plan which is conditional and dependent as always on the common sense and observance of the British people, and on continual re-assessment of the data.

That picture varies across the regions and Home Nations of the United Kingdom, requiring a flexible response. Different parts of the UK may need to stay in full lockdown longer but any divergence should only be short-term because as Prime Minister of the UK, I am in no doubt that we must defeat this threat and face the challenge of recovery together.

Our progress will depend on meeting five essential tests: protecting the NHS, reducing both the daily death toll and the infection rate in a sustained way,ensuring that testing and PPE can meet future demand – a global problem, but one that we must fix, and avoiding a second peak that would overwhelm the NHS.

A new UK-wide Joint Biosecurity Centre will measure our progress with a five-stage Covid Alert System, and the combined effect of our measures so far has been to prevent us from reaching Level Five, a situation that would have seen the NHS overwhelmed, and to hold us at Level Four.

Thanks to the hard work and sacrifice of the British people by following the social distancing rules, we are now in a position where we can move in stages to where I hope the scientific advice will tell us that we are down to Level Three.

But this will only happen if everyone continues to play their part, to stay alert and to follow the rules.

We must also deal with the epidemic in care homes, where a tragic number of the elderly and vulnerable have been lost and while the situation is thankfully improving, there is a vast amount more to be done.

And of course we need a world-leading system for testing and tracking and tracing victims and their contacts so I’m delighted that Baroness Harding, the chair of NHS Improvement, has agreed to take charge of a programme that will ultimately enable us to test hundreds of thousands of people every day.

All this means we have begun our descent from the peak of the epidemic, but our journey has reached the most perilous moment where a wrong move could be disastrous.

So at this stage, we can go no further than to announce the first careful modifications of our measures, Step 1 in moving towards Covid Alert Level 3, a shift in emphasis that we can begin this week.

Anyone who cannot work from home should be actively encouraged to go to work.

And sectors that are allowed to be open should indeed be open, but subject to social distancing.

These include food production, construction, manufacturing, logistics, distribution, scientific research.

And to support this, to explain this again, we are publishing guidance for businesses on how to make these workplaces safe. Covid secure.

People who are able to work from home, as we’ve continually said, should continue to do so, and people who cannot work from home should talk to their employers about returning this week and the difficulties they may or may not have.

Anyone with covid symptoms obviously – or in a household where someone else has symptoms – should self-isolate.

We want everyone travelling to work to be safe, so people should continue to avoid public transport wherever possible because we must maintain social distancing which will inevitably limit capacity.

Instead people should drive or better still walk or cycle.

With more activity outside our homes, we would now advise people to wear a cloth face covering in enclosed spaces where social distancing is not always possible, and you are more likely to come in contact with people you do not normally meet.

The reason is face coverings can help to protect each other and reduce the spread of the disease, particularly if you have coronavirus like symptoms.

But this does not mean – and I must stress this – this does not mean wearing medical face masks, 2R or FFP3, which must be reserved for people who need them.

We have all lived so far with onerous restrictions Mr Speaker on outdoor spaces and exercise, and this is where my honourable friend interjects as I know he’s a keen swimmer and unfortunately we can’t do anything for swimming pools but we can do something for lakes and the sea. and this is where we can go significantly further because there is a lower risk from outdoors than indoors.

So from Wednesday there will be no limits on the frequency of outdoor exercise people can take.

You can now walk, sit and rest in parks, you can play sports and exercise, and you can do all these things with members of your own household, or with one other person from another household, provided you observe social distancing and remain 2 metres apart from them.

And I do hope that’s clear Mr Speaker. I’m conscious people want to come back and ask questions in more detail and I’d be very happy to answer.

We shall increase the fines for the small minority who break the rules, starting at £100 but doubling with each infringement up to £3,600.

You can drive as far as you like to reach an outdoor space, subject to the same rules and the laws and guidance of the Devolved Administrations.

I am sorry to say however, Mr Speaker, that we shall continue to ask those who are clinically vulnerable – including pregnant women and people over 70, or those with pre-existing chronic conditions – to take particular care to minimise contact with those outside their households.

And we must continue to shield people who are extremely vulnerable. They should, I am afraid, remain at home and avoid any direct contact with others.

I know that easing restrictions for the many will only increase the anguish of those who must remain shielded, so the Government will look at every possible way of supporting the most vulnerable.

Mr Speaker, all of our precautions will count for little if our country is re-infected from overseas, so I give notice that we shall introduce new restrictions at the UK border, requiring 14 days of self-isolation for international arrivals, while respecting our common travel area with Ireland.

Every day, we shall monitor our progress, and if we stay on the downward slope, and the R remains below 1, then – and only then – will it become safe to go further, and move to the second step.

This will not happen until 1st June at the earliest, but we may then be in a position to start the phased reopening of shops; to return children to early years’ settings, including nurseries and childminders; to return primary schools in stages, giving priority to the youngest children in reception and year 1, and those in year 6 preparing for secondary school; and to enable secondary school pupils facing exams next year to get at least some time with their teachers.

Our ambition – and I stress this is conditional Mr Speaker –is for all primary school pupils to return to the classroom for a month before the summer break.

To those ends, we are publishing guidance on how schools might reopen safely.

Step two could also include allowing cultural and sporting events behind closed doors for broadcast, which I think would provide a much needed boost to national morale.

But nothing can substitute for human contact and so the Government has asked SAGE when and how we could safely allow people to expand their household group to include one other household, on a strictly reciprocal basis.

Finally, and no earlier than July, we may be able to move to step three – if and only if supported by the data, and the best scientific advice.

We would then aim to reopen some remaining businesses, including potentially hospitality, cinemas and hairdressers as well as places of worship and leisure facilities.

And this will depend on maintaining social distancing and new ways of providing services, so we will phase and pilot any re-openings to ensure public safety.

And I must be clear again: if the data goes the wrong way, if the Alert Level begins to rise, we will have no hesitation in putting on the brakes, delaying or reintroducing measures – locally, regionally or nationally.

Mr Speaker, our struggle against this virus has placed our country under the kind of strain that will be remembered for generations.

But so too has the response of the British people, from dedicated shopworkers keeping our supermarkets open, and ingenious teachers finding new ways of inspiring their pupils, to the kindness of millions who have checked on their neighbours, delivered food for the elderly, or raised astonishing amounts for charity.

In these and in so many other ways, we are seeing the indomitable spirit of Britain

And Mr speaker let me summarise by saying that people should Stay Alert by working from home if you possibly can, by limiting contact with other people, by keeping your distance 2 metres apart where possible – by washing your hands regularly, and if you or anyone in your household has symptoms, you all need to self-isolate.

Because if everyone stays alert and follows the rules, we can control the virus, keep the rate of infection down and the keep number of infections down.

And this Mr Speaker is how we can continue to save lives, and livelihoods, as we begin to recover from coronavirus, and I commend this statement to the House.

NOTE: The Prime Minister’s statement applies to England only

First Minister hammers home the STAY AT HOME message

Statement given by the First Minister Nicola Sturgeon at a media briefing in St. Andrew’s House, Edinburgh on Monday 11 May:

Good afternoon. Thanks for joining us for today’s briefing.

I want to start – as I always do – by updating you on some of the key statistics in relation to COVID-19 in Scotland.

As at 9 o’clock this morning, there have been 13,627 positive cases confirmed – an increase of 141 from yesterday.

A total of 1,453  patients are in hospital with COVID-19 – that is a decrease of 31 from yesterday.

A total of 80 people last night were in intensive care with confirmed or suspected COVID 19. That is a decrease of 2 since yesterday.

I am also able to confirm today that since 5 March, a total of 3114 patients who had tested positive for the virus have been able to leave hospital. I wish all of them well.

And unfortunately I also have to report that in the last 24 hours, 5 deaths have been registered of patients who had been confirmed through a test as having COVID-19 – that takes the total number of deaths in Scotland, under that measurement, to 1,862.

I want to emphasise again today that those figures should be treated with some caution.  Although deaths can be registered at weekends, registration numbers at weekends are usually relatively low, and can be particularly low following a Sunday. This should be taken into account when looking at today’s figures.

And as always, I want to stress that these numbers are not simply statistics. They represent individuals whose loss is being felt deeply by their loved ones. I want to send my deepest condolences to everyone who is grieving as a result of this virus.

I also want to thank, as I always do, our health and care workers. You are doing extraordinary work going above and beyond the extra mile in incredibly challenging circumstances.   All of us owe you a huge debt of gratitude.

In a moment, I’ll ask the Cabinet Secretary to set out the details of a new wellbeing programme which is being launched today – to support the mental health of those working in our health and care sector, at this very difficult time.

Before that, there are two items I want to address.

Firstly, the Scottish Government has today published our second coronavirus bill.

The Bill includes a range further measures, to help Scotland through this pandemic.   Among other things, it provides additional support for unpaid carers.

It ensures that Carers Allowance recipients will receive an extra payment, on top of the Carers Allowance Supplement.  That will see around 83,000 carers receive an additional £230 – to support them through this period.

Being a carer is incredibly demanding at the best of times – and I know it’s only more difficult right now.  So I want to thank each and every one of Scotland’s carers for the incredibly important role that you are playing.

The bill is due to go through parliament in the next two weeks.  And I hope that when it does, this additional payment – alongside the other support we’re providing – helps to make things a little bit easier for you.

The second item I want to cover today concerns the lockdown restrictions.

Last night, the Prime Minister set out some of the details of his plan, for easing restrictions in England.   More of the detail of that has emerged this morning – and will continue to come out, during the day.

I want to reiterate that those announcements do not apply here. That is not, I want to stress, for any political reason. It is because the Scottish Government is not yet confident that these changes can be made in Scotland  without us running the risk of the virus potentially running out of control. Scotland’s lockdown restrictions remain in place for now.

And our key message remains the same.

We need you to stay at home. We do not, at this point, want to see more businesses opening up – or more people going to work. We do not yet want to see more people using public transport. And we are not yet changing who can or should be at school.

The only change we’ve made, here in Scotland is to the guidance on exercise.

As of today, we have removed the once-a-day limit on exercise.  It means that – if you want to go for a walk more often – or to go for a run and also a walk – then you can now do so.

That change obviously doesn’t apply if you or someone in your household has symptoms of COVID-19, or if you received a letter explaining that you are in the shielded group. In those cases, you should still stay at home completely.

For everybody else, you will still need to stay relatively close to your own home.  And at all times, you need to stay at least 2 metres away from people from other households.

I also want to stress that by exercise we mean activities like walking or running or cycling – not sunbathing or having a picnic.  This does not give people a license to meet up, at the park or at the beach.

It’s just one very minor change to the existing rules.  But all of the restrictions in Scotland for now remain in place.

And let me, for a moment, give one example of why this matters.

I read this morning, in the Evening Times, the tragic story of a family in Castlemilk, Glasgow.

Andy Leaman has told how his mum, dad and father in law have all died from the virus. He talks too of the impact on his nine year old daughter.

Their story is heartbreaking. And it could be any of us.

That family have told their story because they want people to listen to the advice.

In today’s paper they say: “People need to realise it’s real.  The guidelines that are set out need to be followed.

“It may be them next and their families, and we would not want anyone to go through what we have had to go through. 

“Stay in the house, social distance.  That is the way to keep people you love safe.”

I think that is a very powerful message. It underlines the importance of the restrictions – and why we need to stick with them.

So to close today, I want to reiterate today – simply and I hope clearly – what the restrictions continue to be while our progress against this potentially deadly virus remains fragile.

Except for essential purposes such as exercise, buying food or medicines, or going to do essential work that you can’t do from home – you should not be going out. You must stay at home.

If you do go out, you should stay more than two meters from other people, and you should not be meeting up with people from other households.

You should wear a face covering if you are in a shop or on public transport.

And you should isolate completely if you or someone else in your household has symptoms.

I know that these restrictions continue to be extremely tough. And I know that hearing any talk about easing the lockdown, might make them seem even tougher. But please, stick with it.

We are making progress. But to combat this virus, we still need to stay apart from each other. We still need to stay at home.

And the more we do that now, the sooner we will be able to ease more of these restrictions.

I set out yesterday the further changes that  we are considering making as soon as we judge it safe to do so.

We all want to see our friends and families – we all miss them more with each day that passes. We all want to see children go back to school, and we all desperately want to get back to some kind of normality.

Please know that I want all of that too – I want that as your First Minister.

But I also want it as an ordinary person who is missing my own family very much.

But I know we will get there more quickly if we all keep doing the right thing now.

If we take our foot off the brake too soon, the real danger is we will end up in this lockdown for longer – and worse of all, we will lose many more people along the way.

None of us want that. So please be patient. And please try not to get distracted by messages from other parts of the UK. All governments across the UK are trying to do the right thing and all of us have a responsibility to take the steps we think are right, at the right time.

So please if you live in Scotland, abide by the law that applies here and follow the Scottish Government guidance.

Can I also make a respectful plea to the media. Your scrutiny role is essential and you perform it robustly – rightly so. But at a time like this – when health is at stake – all of us have a public duty too. Please make it clear to your readers, listeners and viewers what the actual situation is in different parts of the UK.

Moving at different speeds in different parts of the UK for good, evidence based reasons need not be a cause of confusion – indeed  other countries are taking different steps in different areas at different times.

Confusion only arises if we as politicians and the media who report on us are either unclear in what we are asking people to do – or if we give a misleading impression that decisions that apply to one nation only are actually UK wide.

Never has the duty on political leaders to communicate clearly been greater. And in the provision of basic public health information, I hope the media will continue – as you most of you have been doing – to appreciate the importance of that too.

This matters to all of us.

If we see continued high compliance with the restrictions in Scotland for a bit longer, we will continue to slow the spread of the virus, we will protect the NHS, we will save lives and we will all move on quickly to the day when these restrictions start to be eased.

Thank you, once again, to everyone who is doing that.